Kenneth A Orchard, MD | |
1035 Valley Stream Dr, Pingree Grove, IL 60140-9137 | |
(615) 260-5205 | |
Not Available |
Full Name | Kenneth A Orchard |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1035 Valley Stream Dr, Pingree Grove, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891814653 | NPI | - | NPPES |
103I082013 | Other | TN | MEDICARE MCRPTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 28715 (Tennessee) | Secondary |
207Q00000X | Family Medicine | 28715 (Tennessee) | Primary |
Entity Name | Carespot Of Hendersonville 280 Indian Lake Boulevard |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407299639 PECOS PAC ID: 3072756733 Enrollment ID: O20130827000943 |
Entity Name | Carespot Of Lebanon 1705 West Main Street Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417390642 PECOS PAC ID: 2769625425 Enrollment ID: O20130827000998 |
Entity Name | Carespot Of Brentwood (210 Franklin Road),llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053654947 PECOS PAC ID: 2163665472 Enrollment ID: O20130904000995 |
Entity Name | Carespot Of Cool Springs (100 International Drive), Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720320997 PECOS PAC ID: 7315180684 Enrollment ID: O20130905000694 |
Entity Name | Carespot Of Hermitage (5225 Old Hickory Boulevard), Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871836148 PECOS PAC ID: 0941444855 Enrollment ID: O20130916000341 |
Entity Name | Carespot Of Donelson (2372 Lebanon Road), Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528301223 PECOS PAC ID: 2264676782 Enrollment ID: O20130923000418 |
Entity Name | Carespot Of Nashville (west End Avenue), Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699118828 PECOS PAC ID: 9234373762 Enrollment ID: O20130923000553 |
Entity Name | Carespot Of Murfreesboro (1340 Broad Street), Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437491602 PECOS PAC ID: 8325282882 Enrollment ID: O20130924000083 |
Entity Name | Carespot Of Nashville (2001 Glen Echo Road), Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699018051 PECOS PAC ID: 9436393709 Enrollment ID: O20130926000773 |
Mailing Address | Practice Location Address |
---|---|
Kenneth A Orchard, MD 1035 Valley Stream Dr, Pingree Grove, IL 60140-9137 Ph: (615) 260-5205 | Kenneth A Orchard, MD 1035 Valley Stream Dr, Pingree Grove, IL 60140-9137 Ph: (615) 260-5205 |